Healthcare Provider Details

I. General information

NPI: 1871883983
Provider Name (Legal Business Name): BOBBY JOE LEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2011
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14505 LA HWY 699
KAPLAN LA
70548-6184
US

IV. Provider business mailing address

14505 LA HWY 699
KAPLAN LA
70548-6184
US

V. Phone/Fax

Practice location:
  • Phone: 225-281-5115
  • Fax:
Mailing address:
  • Phone: 225-281-5115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberU6519
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number207142
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: